Gallant Therapy Services
LBN: Gallant Therapy Services
Gallant Therapy Services is an health care organization with primary practice located at 12 Shuman Ave Ste 16 , Augusta ME 04330-6020. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty.
Gallant Therapy Services can be contacted via phone (207) 623-3900, or through Gallant, Ryan via phone (207) 623-3900.
Contact Information
Primary practice address
12 Shuman Ave Ste 16
Augusta ME 04330-6020
Phone: (207) 623-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X |
Profile Details
| NPI number | 1124253760 |
|---|---|
| LBN Legal business name | Gallant Therapy Services |
| DBA Doing business as | |
| Authorized official | Gallant, Ryan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2009 |
| Last updated | Apr 12th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124253760 | NPPES |
| Maine | MEDICAID | 172740000 | |
| Maine | MEDICAID | 434551000 |
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